Purple Haze - Merchandise Order Form

* Name:

Tel:

EMail:

* Address:

* Postcode:

( * must be completed )

 

T Shirt IMAGE -

Grey

@ £10.00 (+ £1 p&p per item)

£

Medium/Large/Extra Large (delete as applicable)

T Shirt IMAGE -

White

@ £10.00 (+ £1 p&p per item)

£

Medium/Large/Extra Large (delete as applicable)

T Shirt TEXT    -

Black

@ £10.00 (+ £1 p&p per item)

£

Medium/Large/Extra Large (delete as applicable)

T Shirt TEXT    -

Grey

@ £10.00 (+ £1 p&p per item)

£

Medium/Large/Extra Large (delete as applicable)

Maxi Single CD

@ £6.00 (+   £1 p&p per item)

£

Contains 6 tracks -  

Purple Haze, Foxy Lady,

Stone Free, Voodoo Chile, Fire, Little Wing

 

 

 

 

 

 

 

Total :

£

 

Please complete this form, print it out and send it together with your cheque (made payable to Roger Addison) to:

167 Waldegrave Road, Brighton, Sussex, BN1 6GJ (Please allow 14 days for delivery)

NOTE: overseas orders please add £2.00 per item for postage & packing.

 

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